Clinging to closeness: The parental view on developing a close bond with their infants in a NICU

•Infant's NICU stay provided an emotional rollercoaster ride to the parents.•Moments together as a family in the NICU represented normal parenthood.•Infant's reciprocal behaviour was significant to parents’ closeness experiences.•Stored closeness sustained parents through the unavoidable s...

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Veröffentlicht in:Midwifery 2018-07, Vol.62, p.183-188
Hauptverfasser: Mäkelä, Heli, Axelin, Anna, Feeley, Nancy, Niela-Vilén, Hannakaisa
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Sprache:eng
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Zusammenfassung:•Infant's NICU stay provided an emotional rollercoaster ride to the parents.•Moments together as a family in the NICU represented normal parenthood.•Infant's reciprocal behaviour was significant to parents’ closeness experiences.•Stored closeness sustained parents through the unavoidable separation. To identify and understand how parents develop a close bond to their infants in the neonatal intensive care unit (NICU). A qualitative descriptive study; closeness and separation stories recorded in a smartphone application by the parents were analyzed using thematic analysis. Twenty-three parents of nineteen infants who were taken care of in a level III NICU in Finland. Bonding moments and a disrupted dyadic parent-infant relationship continuously alternated as in a rollercoaster ride during the hospital stay. Transitions from closeness to separation and vice versa were the most emotional stages on the journey. Parents had a natural desire to be close and create a bond with their infants; however, they accepted the separation as part of NICU care. The findings indicate that closeness with their infant was the power that parents stored and that led them through unavoidable separation to normal parenthood. Bonding and attachment will occur naturally if parents are close to their infants and permitted privacy and time with their infants. NICU staff should create a peaceful and calming environment that enables and supports this bonding process.
ISSN:0266-6138
1532-3099
DOI:10.1016/j.midw.2018.04.003